Michelle Abeyta, RN

Individual provider Active NPI Registered Nurse · Hayward, CA

NPI 1861907461 · NPPES record last updated Dec 6, 2017

Key facts

NPI
1861907461
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
720738 (CA)
Practice address
20094 Mission Blvd
Hayward, CA 94541-1237
Phone
(510) 727-9755
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
720738CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Alternatives to Addiction, Research and Treatment Inc. Past Accepting new patients
Humanistic Alternatives to Addiction Research and Treatment, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 720738 CA Yes

Addresses

Primary practice location

20094 Mission Blvd
Hayward, CA 94541-1237

Mailing address

3235 Brunell Dr
Oakland, CA 94602-4101

Other identifiers

IdentifierTypeStateIssuer
110014310844OtherCAKAISER PERMANENTE

Other providers in Hayward, CA

All providers in Hayward, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.